Is termed following an inflammation to the Gallbladder.

Caused often by Gallstones.

Subsequent inflammation follows.  Thickening of tissue follows along with thickening of bile flowing into gallbladder.

Infection may follow

Symptoms:
   -  Steady pain (can be severe)
   -  Tenderness in epigastric region
   -  Nausea
   -  Vomiting
   -  Fever
   -  Leukocytosis

Pain precipitated by a fatty meal
Associated with gallstones in 90% of the cases
Stones impacted in cystic duct – followed by inflammation

Charcot’s triad – fever & chills, right upper quad pain (+ Murphy’s sign), and jaundice

Ultrasound may be benifical
CT is an important modality

Treatment:

   -  No oral feedings

   -  Pain medication

   -  Antibiotics
           . Zosyn
           . Cephlasporins
           . Unasyn
           . Timintin
           . Metronidazole [Flagyl]

   -  Gallbladder removal through surgery